JKM : Jurnal Keperawatan Merdeka

Analisis Mutu Pelayanan Terhadap Kepuasan Pasien Rawat Jalan

Anggara Fitri Dewi — 2025-11-11

Background: The increasing competition among private hospitals demands continuous improvements in healthcare service quality to meet the growing expectations of patients. Patient satisfaction increases if the hospital is able to provide quality, fast, empathetic, safe and comfortable medical services in accordance with patient expectations. Methods: This study aims to analyze the influence of service quality dimensions on outpatient satisfaction at a private hospital in Palembang City. A quantitative approach with a descriptive-analytic and cross-sectional design was applied, involving 100 respondents selected through purposive sampling, with inclusion criteria of being ≥18 years old and having received outpatient services. The research instrument was a SERVQUAL-based questionnaire. Results: The findings revealed that most respondents were female, of productive age, and had at least a senior high school education. The overall patient satisfaction rate was relatively high (86%). All dimensions of service quality showed a significant effect on satisfaction, with empathy emerging as the most dominant factor (OR = 101.4), significantly contributing to patients’ positive experiences. These results highlight the critical role of empathetic care in enhancing patient experience and satisfaction. Conclusion: The study concludes that service quality, particularly the empathy dimension, significantly influences outpatient satisfaction in the examined private hospital.

Pengetahuan Dan Pelaksanaan Dokumentasi Perawat Terhadap 3S SDKI, SIKI Dan SLKI

Tria Monja Mandira — 2025-11-11

Background: Nursing care standards are inherently linked to the nursing process, which forms the core responsibility of nurses in delivering patient care. This process includes assessment, diagnosis, planning, implementation, and evaluation. The aim of this study is to assess nurses' knowledge and documentation practices related to the 3S components—SDKI, SLKI, and SIKI—at RS Prof. Dr. Tabrani Pekanbaru. Methods: This study employed a quantitative, descriptive research design using a questionnaire. The population consisted of all 40 nurses working at RS Prof. Dr. Tabrani Pekanbaru, and the entire nursing staff was included as the sample. Results: The findings revealed that only 4 respondents (10%) demonstrated good knowledge of SDKI, SIKI, and SLKI. A majority of 20 respondents (50%) had moderate knowledge, while 16 respondents (40%) showed limited understanding of nursing care based on SDKI, SIKI, and SLKI. Conclusion: Based on these results, it can be concluded that the nursing staff has not yet fully comprehended nursing care using the SDKI, SIKI, and SLKI standards. It is recommended that the institution conduct socialization and simulation activities to improve documentation practices aligned with these standards. This initiative is expected to better prepare nurses for applying these standards in healthcare facilities.

Pengaruh Tingkat Kecemasan Terhadap Career Interest Pada Siswa Dan Siswi Sekolah Menengah Atas

Rahma Yuliza — 2025-11-11

Background: Career interest refers to an individual's desire and motivation to pursue a particular career. Those who are interested in pursuing a career are typically individuals who wish to make life decisions aligned with their personality type. However, challenges such as anxiety can arise when determining future career paths. Career-related anxiety is a form of realistic anxiety, associated with feelings of uncertainty and potential negative impacts on future life. Objective: This study aims to examine the influence of anxiety levels on career interest. Method: The research method used is descriptive correlational with a cross-sectional study design. The population consists of all 12th-grade students, totaling 279 individuals. The sampling technique used is purposive sampling, with the Slovin formula applied to obtain a sample of 74 students. Data collection instruments included a questionnaire sheet. Results: The study found that the majority of students had low career interest (45 respondents or 60.8%) and high levels of anxiety (41 respondents or 55.4%). The statistical analysis revealed a significant influence of anxiety levels on career interest, with a p-value = 0.000 (p < 0.05). Conclusion: This study concludes that anxiety levels significantly affect career interest among students at SMA Negeri 8 Banda Aceh. It is hoped that students can reduce their anxiety levels to foster stronger career interest in the future.

Implementasi Keperawatan Foot Massage Pada Pasien Hipertensi Dengan Masalah Gangguan Pola Tidur

Prahardian Putri — 2025-11-11

Background: Hypertension is defined as an increase in blood pressure above the normal threshold, namely systolic pressure exceeding 140 mmHg and diastolic pressure exceeding 90 mmHg. This condition is generally influenced by lifestyle factors such as unhealthy eating habits, being overweight (obesity), lack of sleep, and stress. One relaxation method that can be applied to overcome sleep pattern disorders in hypertensive patients is foot massage therapy. Methods: The case study design in this research uses a descriptive method with a nursing care approach. The research subjects consisted of two patients suffering from hypertension, each aged 65 years, who both experienced similar problems, namely disturbed sleep patterns. This research was carried out in the inpatient room of the Palembang Muhammadiyah Hospital. Data collection was carried out through observation, interviews, and filling out case study instruments during the three-day treatment period. Result: Result were obtained after non-pharmacological implementation: massage therapy (Foot Massage) in patients with sleep pattern disorders there was a decrease in sleep pattern disorders in patient 1 on the 1st day of the psqi assessment was at 10 and on the last day it was at 5. Meanwhile, in patients on the 1st day 2 of the psqi assessment was at 10 and the final result was at 5. Conclusion: The implementation of foot massage relaxation therapy can help reduce sleep pattern disorders in hypertensive patients

Manajemen Asma Pada Pasien Asma Bronkial Dengan Masalah Bersihan Jalan Napas Tidak Efektif

Syokumawena Syokumawena — 2025-11-11

Background : Bronchial asthma is a chronic inflammatory disease of the airways characterized by reversible airway obstruction. One of the most common nursing problems encountered during an acute asthma attack is ineffective airway clearance due to mucus hypersecretion and bronchospasm. Prompt and targeted nursing interventions are essential to prevent respiratory complications. Method : The design of this writing uses a descriptive method in the form of a case study. The Nursing Care Approach consists of assessment, nursing diagnosis, planning, implementation, evaluation, and nursing documentation. Results : All fourth patients demonstrated significant clinical improvement after interventions. Respiratory rate decreased, wheezing was reduced, cough became more effective, and oxygen saturation improved to ≥ 95%. These outcomes indicate that the nursing interventions were successful in resolving the ineffective airway clearance problem. Conclusion : Prompt and appropriate nursing interventions are effective in managing ineffective airway clearance in patients with bronchial asthma. A combination of non-pharmacological techniques and collaborative therapies plays a crucial role in improving respiratory status in emergency care settings.

Korelasi Pengetahuan Dan Sikap Dengan Stigma Masyarakat Terhadap Orang Dengan Gangguan Jiwa

Dhia Diana Fitriani — 2025-11-11

Background: The increasing prevalence of mental disorders continues to be accompanied by a high level of community stigma, which contributes to delayed help-seeking behavior, poor treatment adherence, and a heightened risk of relapse. This study aims to analyze the correlation between the level of knowledge and attitudes with community stigma toward individuals with mental disorders in Kampung Kadongdong RT 002/003, Pasir Nangka Village, Tigaraksa District, Tangerang Regency. Methods: This research employed a descriptive analytic design with a cross-sectional approach and involved all 61 heads of households as respondents selected through a total sampling method. Data were analyzed using Chi-Square test with a significance level of α = 0.05. Results: Nearly half of the respondents had a moderate level of knowledge (47.5%), a neutral attitude (41.0%), and a low level of stigma (41.0%). There was a significant correlation between the level of knowledge and stigma (p = 0.000), as well as between attitudes and stigma (p = 0.005). Conclusion: This study showed a significant relationship between public knowledge and attitudes toward stigma against people with mental disorders; therefore, enhancing mental health literacy through education and anti-stigma campaigns was considered necessary to promote better understanding and acceptance of individuals with mental illnessBackground: The increasing prevalence of mental disorders continues to be accompanied by a high level of community stigma, which contributes to delayed help-seeking behavior, poor treatment adherence, and a heightened risk of relapse. This study aims to analyze the correlation between the level of knowledge and attitudes with community stigma toward individuals with mental disorders in Kampung Kadongdong RT 002/003, Pasir Nangka Village, Tigaraksa District, Tangerang Regency. Methods: This research employed a descriptive analytic design with a cross-sectional approach and involved all 61 heads of households as respondents selected through a total sampling method. Data were analyzed using Chi-Square test with a significance level of α = 0.05. Results: Nearly half of the respondents had a moderate level of knowledge (47.5%), a neutral attitude (41.0%), and a low level of stigma (41.0%). There was a significant correlation between the level of knowledge and stigma (p = 0.000), as well as between attitudes and stigma (p = 0.005). Conclusion: This study showed a significant relationship between public knowledge and attitudes toward stigma against people with mental disorders; therefore, enhancing mental health literacy through education and anti-stigma campaigns was considered necessary to promote better understanding and acceptance of individuals with mental illness

Implementasi Keperawatan Silent Treatment Pada Pasien Skizofrenia Dengan Resiko Perilaku Kekerasan

Marta Pastari — 2025-11-11

Background: Risk Violent behavior is a type of risky behavior directed towards oneself, others, or the environment. Aggressive behavior towards oneself can lead to self-harm actions up to suicide or neglecting oneself in the form of self-neglect. Violence against others is an act of aggression with the intent to cause harm or make others suffer. Objective: To describe the implementation of behavioral therapy in patients with schizophrenia who have issues with violent behavior risk. Method: Method In this study, the author uses a descriptive method where the researcher will describe the implementation of behavioral therapy at Ernaldi Bahar Hospital in South Sumatra Province. Results: The implementation of behavioral therapy on schizophrenia patients with a risk of violent behavior can be carried out well according to the established plan. The researchers evaluated the four patients and found that the implementation of behavioral therapy could help the patients control feelings of annoyance and anger, making them calmer and less prone to quick emotional outbursts, thereby reducing the symptoms of violent behavior risk experienced by the patients. Conclusion: The researcher hopes that the patients can maintain and implement what has been taught to them on how to control the risk of violent behavior through behavioral therapy. The researcher also hopes for the involvement of the patient's family in helping the patient control the risk of violent behavior by reminding or motivating the patient not to stop taking medication.

Inovasi Media Kantong Bilangan Untuk Peningkatan Kognitif Anak Usia Dini Berkebutuhan Khusus

Eva Oktaviani — 2025-11-11

Latar belakang: Anak berkebutuhan khusus (ABK) usia dini memiliki kerentanan tinggi terhadap keterlambatan perkembangan, terutama pada aspek kognitif dan sosial. Salah satu upaya stimulasi yang dapat digunakan adalah melalui media kantong bilangan, yang berfungsi melatih pengenalan angka dan warna sekaligus meningkatkan interaksi sosial. Tujuan: Penelitian ini bertujuan untuk mendeskripsikan penggunaan inovasi media kantong bilangan untuk meningkatkan kemampuan kognitif anak usia dini berkebutuhan khusus di TK Uswatun Hasanah Kota Lubuklinggau. Metode: Penelitian menggunakan pendekatan studi kasus terhadap dua anak usia dini berkebutuhan khusus. Data dikumpulkan melalui observasi, wawancara, dan checklist evaluasi perkembangan selama tiga hari pada Juni 2025. Hasil: Hasil menunjukkan bahwa subjek I (ASD dan speech delay) mengalami peningkatan dari kemampuan mengenal angka 1–3 menjadi 1–7, serta mampu menyebutkan tujuh warna dasar, dengan perbaikan kontak mata dan interaksi sosial. Subjek II (ADHD dan ASD) pada awalnya hanya menyentuh angka secara acak, namun setelah intervensi mampu mengurutkan angka 1–5 dengan arahan, mengenali enam warna dasar, serta menunjukkan kemampuan duduk tenang dan mengikuti instruksi sederhana. Kesimpulan: Penggunaan media kantong bilangan berpotensi menstimulasi perkembangan kognitif dan sosial pada ABK usia dini, sehingga dapat mengurangi risiko keterlambatan. Media ini relevan untuk diterapkan di sekolah inklusi dan memerlukan penerapan konsisten agar hasil lebih optimal.

Implementasi Manajemen Peningkatan Tekanan Intrakranial Pada Pasien Cidera Kepala Sedang Dengan Masalah Risiko Perfusi Serebral Tidak Efektif

Rumentalia Sulistini — 2025-11-11

Background: Head injury is a traumatic disorder of brain function accompanied or without interstitial bleeding in the brain substance without being followed by a break in brain continuity, as a result of head injury the patient can experience physical and psychological changes. The nursing problem that arises is the risk of ineffective cerebral perfusion. Objective: The purpose of this case study is to obtain an overview of the implementation of management of increased intracranial pressure in patients with moderate head injury with the problem of the risk of ineffective cerebral perfusion. Method: The writing design uses a descriptive method in the form of a case study. nursing care approach consisting of assessment, nursing diagnosis, planning, implementation, evaluation, and nursing documentation. The research subjects consisted of 4 patients at the Hospital with. Results: The implementation of management of increased intracranial pressure in head injury patients was carried out with observation, therapeutic, educational and collaborative actions. Evaluation of these actions showed good results, by describing the patient in a stable condition. Conclusion Actions in ICT Improvement Management are expected to pay attention to teamwork and collaboration actions

Pengetahuan Dan Sikap Remaja Putri Terhadap Perilaku Sadari Sebagai Deteksi Dini Kanker Payudara

Herawati Jaya — 2025-11-11

Background: Adolescence is a transitional period characterized by rapid physical, psychological, and intellectual growth and development, making adolescents vulnerable to reproductive health problems. One non-communicable disease in adolescents that increases annually is breast cancer. This study aims to determine the knowledge and attitudes of adolescent girls regarding breast self-examination (SADARI) as an early detection of breast cancer. By conducting a SADARI examination, immediate action can be taken if abnormalities are found. Method: This study used an observational, analytic, cross-sectional design. The sample was selected using a purposive sampling technique. The total sample size was 33 respondents. Data were analyzed using univariate and bivariate analysis. Results: After data processing, the results showed a significant relationship between knowledge (p-value = 0.002 (p<0.05) and attitude (p-value = 0.000 (p<0.05) and SADARI behavior. Conclusion: There is a relationship between adolescent girls' knowledge and attitudes and SADARI behavior as an early detection of breast cancer.

Efektivitas Pemberian Air Rebusan Bawang Putih Terhadap Tekanan Darah Pada Lansia Penderita Hipertensi

Imelda Erman — 2025-11-11

Background: Old age is a phase of decline in intellectual and physical abilities, and experiencing structural and functional damage to the large arteries that carry blood away from the heart causes more severe hardening of the arteries and high blood pressure. Hypertension is a condition in which a person experiences an increase in blood pressure above normal which results in an increase in morbidity and mortality The purpose of this study was to determine the effectiveness of giving garlic boiled water on blood pressure in the elderly. Methods: This study uses a quasi-experimental research design with a non-equivalent control group design. The sampling technique in this study was non-porbality sampling with a purposive sampling approach. With a sample of 15 respondents in the intervention group and 15 respondents in the control group. Analysis of the data in this study used the Mann Withney U statistical test. Results: Based on the results of the analysis using the Mann Withney U parametric test, the average blood pressure before and after administration of garlic boiled water with p Value = 0.000 for systolic blood pressure and p Value = 0.002 for diastolic blood pressure., where the p value of systolic and diastolic blood pressure is smaller than the value of (0.05) which means that there is a significant effect between the administration of garlic boiled water and systolic and diastolic blood pressure. Conclusion: There is a significant difference in the average blood pressure before and after giving garlic boiled water. The results of this study can be input for the caretaker of the elderly social institution, our hope in overcoming high blood pressure in the elderly with hypertension.

Pengaruh Posisi Tripod Terhadap Saturasi Oksigen Pada Pasien PPOK

Zahra Adiya Putri — 2025-11-11

Background: One common manifestation found in COPD patients is decreased oxygen saturation (hypoxemia), especially during episodes of shortness of breath (dyspnea). This condition not only worsens the patient's quality of life but also increases the risk of complications and mortality. In clinical practice, COPD patients often instinctively adopt a forward-leaning sitting posture with hands resting on the knees or a table, known as the tripod position. This position is believed to enhance ventilation efficiency by assisting accessory respiratory muscles such as the pectoralis major and minor to work more optimally, expanding the thoracic cavity, and reducing the workload on the diaphragm. This study aims to determine the effect of the tripod position on oxygen saturation in COPD patients Methods: This research used a pre-experimental, pretest-posttest one-group design. The sample consisted of 14 respondents selected through purposive sampling Data were collected using an observation sheet and standard operating procedures, measuring oxygen saturation with a pulse oximeter before and after the tripod position intervention. Results: Data analysis was conducted using the Paired Sample t-Test. The univariate results showed the mean oxygen saturation before the intervention (pretest) was 89.86%, and after the intervention (posttest), it increased to 92.93%. The bivariate statistical test showed a p-value of 0.001, where p < 0.05. Conclusion: It can be concluded that the tripod position significantly affects oxygen saturation in COPD patients on the 2nd floor of RSU Madina Bukittinggi in 2025. The tripod position has been proven to significantly increase oxygen saturation in COPD patients and is recommended as a simple, cost-effective, and non-pharmacological intervention for managing dyspnea. It can also be used as part of patient education by healthcare professionals.